MEDICARE: DEBRA SHAPIRO, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		CA

General Provider Information

NPI Number	:	1598859241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBRA SHAPIRO, M.D., INC.

Provider Business Mailing Address
First Line	:	1720 EL CAMINO REAL STE 120
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3225
Country	:	US
Telephone Number	:	650-697-7716
Fax Number	:	650-697-7165

Provider Business Practice Location Address
First Line	:	1720 EL CAMINO REAL STE 120
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3225
Country	:	US
Telephone Number	:	650-697-7716
Fax Number	:	650-697-7165

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	GERI LAMPMAN
Credential	:
Telephone Number	:	650-697-7716

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/21/2022

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